$1,331.81
Choose 58561 for removal of uterine leiomyoma tissue. Choose 58558 for hysteroscopic endometrial sampling or polyp removal.
On this page
CMS RVU26D · Effective 2026-10-01
58561 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$313.53
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Hysteroscopy
About 58561: Hysteroscopic myoma removal
Reports operative hysteroscopy to remove uterine leiomyomas, typically intracavitary fibroids treated through the cervix without abdominal access.
The surgeon passes a hysteroscope through the cervix to visualize and remove uterine leiomyomas from the uterine cavity. This is commonly performed by a gynecologist in an operating room or ambulatory surgery setting for patients with intracavitary fibroids, including those associated with abnormal uterine bleeding or fertility concerns. The operative inspection is part of the removal service.
Report this code when the operative hysteroscopy removes leiomyoma tissue; document the fibroid findings and the removal performed. It has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 58561
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.44 · 69%
- Practice expense (office) RVU1.81 · 19%
- Malpractice RVU1.15 · 12%
2.4K
Medicare services in 2024 · #2325 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
58561 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
Both address myomas, but 58561 uses a hysteroscope through the cervix; 58545 describes laparoscopic myomectomy.
$339.61
Code 58555 is for diagnostic hysteroscopy alone. When the same session proceeds to myoma removal, the diagnostic inspection is part of the operative service.
No office rate
Code 58560 treats a uterine septum hysteroscopically; 58561 removes uterine leiomyoma tissue.
The same code, a different location
How does Austin compare?
58561 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 58561
Office
Unavailable
Facility
$307.16
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 58561
Office
Unavailable
Facility
$320.94
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 58561
Office
Unavailable
Facility
$340.69
No comparable office rate is available.
Miami
Florida · 58561
Office
Unavailable
Facility
$375.18
No comparable office rate is available.
Chicago
Illinois · 58561
Office
Unavailable
Facility
$365.52
No comparable office rate is available.
Manhattan
New York · 58561
Office
Unavailable
Facility
$360.04
No comparable office rate is available.
Alaska*
Alaska · 58561
Office
Unavailable
Facility
$408.20
No comparable office rate is available.
Alabama
Alabama · 58561
Office
Unavailable
Facility
$289.74
No comparable office rate is available.
Arkansas
Arkansas · 58561
Office
Unavailable
Facility
$286.81
No comparable office rate is available.
Arizona
Arizona · 58561
Office
Unavailable
Facility
$306.56
No comparable office rate is available.
Bakersfield
California · 58561
Office
Unavailable
Facility
$308.84
No comparable office rate is available.
Chico
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
El Centro
California · 58561
Office
Unavailable
Facility
$305.80
No comparable office rate is available.
Fresno
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Hanford-Corcoran
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Madera
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Merced
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Modesto
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Napa
California · 58561
Office
Unavailable
Facility
$327.85
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 58561
Office
Unavailable
Facility
$316.51
No comparable office rate is available.
Redding
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Rest Of California
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 58561
Office
Unavailable
Facility
$318.00
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 58561
Office
Unavailable
Facility
$313.74
No comparable office rate is available.
Salinas
California · 58561
Office
Unavailable
Facility
$312.43
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 58561
Office
Unavailable
Facility
$314.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 58561
Office
Unavailable
Facility
$338.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 58561
Office
Unavailable
Facility
$337.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 58561
Office
Unavailable
Facility
$346.53
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 58561
Office
Unavailable
Facility
$341.19
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 58561
Office
Unavailable
Facility
$308.21
No comparable office rate is available.
Santa Cruz-Watsonville
California · 58561
Office
Unavailable
Facility
$313.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 58561
Office
Unavailable
Facility
$312.20
No comparable office rate is available.
Santa Rosa-Petaluma
California · 58561
Office
Unavailable
Facility
$316.38
No comparable office rate is available.
Stockton
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Vallejo
California · 58561
Office
Unavailable
Facility
$325.96
No comparable office rate is available.
Visalia
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Yuba City
California · 58561
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Colorado
Colorado · 58561
Office
Unavailable
Facility
$312.01
No comparable office rate is available.
Connecticut
Connecticut · 58561
Office
Unavailable
Facility
$330.99
No comparable office rate is available.
Delaware
Delaware · 58561
Office
Unavailable
Facility
$310.44
No comparable office rate is available.
Fort Lauderdale
Florida · 58561
Office
Unavailable
Facility
$345.79
No comparable office rate is available.
Rest Of Florida
Florida · 58561
Office
Unavailable
Facility
$330.63
No comparable office rate is available.
Atlanta
Georgia · 58561
Office
Unavailable
Facility
$323.30
No comparable office rate is available.
Rest Of Georgia
Georgia · 58561
Office
Unavailable
Facility
$314.81
No comparable office rate is available.
Hawaii, Guam
Hawaii · 58561
Office
Unavailable
Facility
$306.08
No comparable office rate is available.
Iowa
Iowa · 58561
Office
Unavailable
Facility
$285.67
No comparable office rate is available.
Idaho
Idaho · 58561
Office
Unavailable
Facility
$288.89
No comparable office rate is available.
East St. Louis
Illinois · 58561
Office
Unavailable
Facility
$348.08
No comparable office rate is available.
Rest Of Illinois
Illinois · 58561
Office
Unavailable
Facility
$330.33
No comparable office rate is available.
Suburban Chicago
Illinois · 58561
Office
Unavailable
Facility
$346.76
No comparable office rate is available.
Indiana
Indiana · 58561
Office
Unavailable
Facility
$289.81
No comparable office rate is available.
Kansas
Kansas · 58561
Office
Unavailable
Facility
$289.11
No comparable office rate is available.
Kentucky
Kentucky · 58561
Office
Unavailable
Facility
$303.99
No comparable office rate is available.
New Orleans
Louisiana · 58561
Office
Unavailable
Facility
$315.63
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 58561
Office
Unavailable
Facility
$305.40
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 58561
Office
Unavailable
Facility
$330.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 58561
Office
Unavailable
Facility
$312.82
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 58561
Office
Unavailable
Facility
$330.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 58561
Office
Unavailable
Facility
$313.70
No comparable office rate is available.
Rest Of Maine
Maine · 58561
Office
Unavailable
Facility
$294.61
No comparable office rate is available.
Southern Maine
Maine · 58561
Office
Unavailable
Facility
$299.25
No comparable office rate is available.
Detroit
Michigan · 58561
Office
Unavailable
Facility
$338.20
No comparable office rate is available.
Rest Of Michigan
Michigan · 58561
Office
Unavailable
Facility
$313.66
No comparable office rate is available.
Minnesota
Minnesota · 58561
Office
Unavailable
Facility
$288.68
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 58561
Office
Unavailable
Facility
$309.40
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 58561
Office
Unavailable
Facility
$311.14
No comparable office rate is available.
Rest Of Missouri
Missouri · 58561
Office
Unavailable
Facility
$304.63
No comparable office rate is available.
Mississippi
Mississippi · 58561
Office
Unavailable
Facility
$295.54
No comparable office rate is available.
Montana**
Montana · 58561
Office
Unavailable
Facility
$313.89
No comparable office rate is available.
North Carolina
North Carolina · 58561
Office
Unavailable
Facility
$296.05
No comparable office rate is available.
North Dakota**
North Dakota · 58561
Office
Unavailable
Facility
$291.15
No comparable office rate is available.
Nebraska
Nebraska · 58561
Office
Unavailable
Facility
$285.42
No comparable office rate is available.
New Hampshire
New Hampshire · 58561
Office
Unavailable
Facility
$311.65
No comparable office rate is available.
Northern Nj
New Jersey · 58561
Office
Unavailable
Facility
$339.80
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 58561
Office
Unavailable
Facility
$331.86
No comparable office rate is available.
New Mexico
New Mexico · 58561
Office
Unavailable
Facility
$316.67
No comparable office rate is available.
Nevada**
Nevada · 58561
Office
Unavailable
Facility
$307.61
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 58561
Office
Unavailable
Facility
$372.08
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 58561
Office
Unavailable
Facility
$337.46
No comparable office rate is available.
Queens
New York · 58561
Office
Unavailable
Facility
$355.72
No comparable office rate is available.
Rest Of New York
New York · 58561
Office
Unavailable
Facility
$299.54
No comparable office rate is available.
Ohio
Ohio · 58561
Office
Unavailable
Facility
$309.02
No comparable office rate is available.
Oklahoma
Oklahoma · 58561
Office
Unavailable
Facility
$298.93
No comparable office rate is available.
Portland
Oregon · 58561
Office
Unavailable
Facility
$314.29
No comparable office rate is available.
Rest Of Oregon
Oregon · 58561
Office
Unavailable
Facility
$302.32
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 58561
Office
Unavailable
Facility
$327.73
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 58561
Office
Unavailable
Facility
$306.90
No comparable office rate is available.
Puerto Rico
Puerto Rico · 58561
Office
Unavailable
Facility
$314.06
No comparable office rate is available.
Rhode Island
Rhode Island · 58561
Office
Unavailable
Facility
$315.90
No comparable office rate is available.
South Carolina
South Carolina · 58561
Office
Unavailable
Facility
$303.61
No comparable office rate is available.
South Dakota**
South Dakota · 58561
Office
Unavailable
Facility
$288.46
No comparable office rate is available.
Tennessee
Tennessee · 58561
Office
Unavailable
Facility
$290.68
No comparable office rate is available.
Utah
Utah · 58561
Office
Unavailable
Facility
$306.42
No comparable office rate is available.
Virginia
Virginia · 58561
Office
Unavailable
Facility
$301.65
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 58561
Office
Unavailable
Facility
$314.06
No comparable office rate is available.
Vermont
Vermont · 58561
Office
Unavailable
Facility
$294.39
No comparable office rate is available.
Rest Of Washington
Washington · 58561
Office
Unavailable
Facility
$310.79
No comparable office rate is available.
Seattle (King Cnty)
Washington · 58561
Office
Unavailable
Facility
$331.42
No comparable office rate is available.
Wisconsin
Wisconsin · 58561
Office
Unavailable
Facility
$284.85
No comparable office rate is available.
West Virginia
West Virginia · 58561
Office
Unavailable
Facility
$322.60
No comparable office rate is available.
Wyoming**
Wyoming · 58561
Office
Unavailable
Facility
$303.98
No comparable office rate is available.
See how rates vary across the country
58561 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 58561 in Austin
Multiple payment areas
- 58561 in Barton Creek
- 58561 in Bee Cave
- 58561 in Briarcliff
- 58561 in Cedar Park
Multiple payment areas
- 58561 in Creedmoor
Multiple payment areas
- 58561 in Elgin
Multiple payment areas
- 58561 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 58561 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$344.88
$313.53 × 110% = $344.88
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58561 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,570
- Code
- 58561
- Physician work
- 6.44
- Practice expense
- 1.81
- Malpractice
- 1.15
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.44 | × 1.002 | 6.4529 |
| Practice expense | 1.81 | × 1.058 | 1.9150 |
| Malpractice | 1.15 | × 0.886 | 1.0189 |
| Total RVUs | 9.3868 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$313.53
Open 58561 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.44 | 1.002 |
| Practice expense | 1.81 | 1.058 |
| Malpractice | 1.15 | 0.886 |
(6.44 × 1.002 + 1.81 × 1.058 + 1.15 × 0.886) × $33.4009 = $313.53
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
58561 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $313.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $313.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $313.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $313.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $347.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $347.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $347.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $347.47 | RVU25A |
58561 billing questions
When should this code be chosen over 58558?
Use 58561 when hysteroscopy removes uterine leiomyoma tissue. Code 58558 describes hysteroscopic sampling or polyp removal, rather than myoma removal.
Can diagnostic hysteroscopy be reported separately?
The inspection used to locate a myoma during the same session is part of the operative hysteroscopy. Do not separately report 58555 for that diagnostic inspection.
Is modifier 50 appropriate for multiple or bilateral myomas?
No. CMS does not apply a bilateral adjustment to this code, and modifier 50 is inappropriate.
When is an assistant at surgery payable?
CMS pays an assistant at surgery only when the record documents medical necessity.
How does this differ from laparoscopic myomectomy?
This code is for removal through a hysteroscope passed through the cervix. Code 58545 describes myomectomy performed laparoscopically.
What is included in the global period?
The global period is 0 days. Same-day preoperative and postoperative care is included.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,56758558,,Hysteroscopy biopsy,A,,4.07,33.23,,1.33,,0.72,38.02,6.12,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,56858559,,Hysteroscopy lysis,A,,5.07,1.50,NA,1.50,,0.89,7.46,7.46,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,56958560,,Hysteroscopy resect septum,A,,5.61,1.62,NA,1.62,,1.00,8.23,8.23,0,000,0.00,0.00,0.00,3,0,2,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57058561,,Hysteroscopy remove myoma,A,,6.44,1.81,NA,1.81,,1.15,9.40,9.40,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57158562,,Hysteroscopy remove fb,A,,3.90,7.35,,1.26,,0.68,11.93,5.84,0,000,0.00,0.00,0.00,3,0,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57258563,,Hysteroscopy ablation,A,,4.36,55.01,,1.36,,0.78,60.15,6.50,0,000,0.00,0.00,0.00,3,0,0,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
6,57358565,,Hysteroscopy sterilization,A,,6.94,39.22,,3.94,,1.22,47.38,12.10,0,090,0.12,0.74,0.14,3,2,1,2,0,9,58555,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858